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Alaska rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.27 / $12.85 / $45.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.48 / $16.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $8.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $12.51 / $144.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $14.79
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.05 / $27.30 / $42.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $23.40 / $23.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.51 / $17.51 / $144.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $9.01 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $10.10 / $20.19